Individual
MR. MAXIE RICHARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2826 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 210-2767
Mailing address
2826 HILLCREEK DR, AUGUSTA, GA 30909-5628
(706) 210-2767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015648
GA
Other
Enumeration date
04/08/2025
Last updated
10/06/2025
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